国际妇产科学杂志 ›› 2017, Vol. 44 ›› Issue (1): 103-107.

• 综述 • 上一篇    下一篇

子宫内膜异位症发病机制的研究进展及其临床应用

周洋1,吴玉仙2,金志军3   

  1. 1. 上海长征医院
    2. 第二军医大学附属长征医院
    3. 上海长征医院妇产科
  • 收稿日期:2016-12-12 修回日期:2016-12-25 出版日期:2017-02-15 发布日期:2017-03-28
  • 通讯作者: 周洋 E-mail:1554263305@qq.com

The research progress of pathogenesis and clinical applications of endometriosis

YANG ZHOU, ,   

  • Received:2016-12-12 Revised:2016-12-25 Published:2017-02-15 Online:2017-03-28
  • Contact: YANG ZHOU E-mail:1554263305@qq.com

摘要: 子宫内膜异位症(EMs)是妇科中的疑难病,会引起患者痛经、慢性盆腔痛、月经异常以及不孕等临床症状。研究发现EMs的发病有明显的遗传背景,并且在激素及其受体、炎症免疫、侵袭粘附、血管生成等相关因素共同作用下,患者的盆腔内形成异常微环境而发病。但由于EMs的发病机制复杂,其确切的发病机制仍不清楚。目前针对EMs发病相关的关键靶点进行治疗,能改善治疗效果,但无法根治该疾病。本文对EMs的内分泌、炎症免疫、遗传、血管生成和侵袭粘附等因素的发病机制的研究进展和针对关键靶点进行治疗的临床应用进行综述。

关键词: 子宫内膜异位症, 发病机制, 临床应用, 研究进展

Abstract: Endometriosis is a challenging gynecological disease associated with clinical symptoms such as dysmenorrhea, chronic pelvic pain, menoxenia and infertility. Recent research indicates that EMs can clearly be triggered by genetic aetiology; the combination of dysregulation factors, such as hormones and hormone receptors, inflammation, immunity, adhesion, invasion and angiogenesis, leads to an abnormal pelvic microenvironment and causes the disease. However, due to its complexity, the exact pathogenesis of EMs remains unclear. Nowadays, therapy aiming at key targets can improve the treatment effect but fail to cure the disease. This article summarizes recent research development of pathogenesis of EMs relating to endocrine, inflammation immunity, heredity, angiogenesis, invasion and adhesion. It also reviews new clinical applications of therapy aiming at key targets.

Key words: Endometriosis, Pathogenesis, Clinical application, Research progress